| Matthew Young, MD | |
|
2600 Saint Michael Dr, Texarkana, TX 75503-2372 | |
| (903) 614-1000 | |
| Not Available |
| Full Name | Matthew Young |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2600 Saint Michael Dr, Texarkana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316973233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | K8593 (Texas) | Primary |
| Entity Name | Texarkana Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871813345 PECOS PAC ID: 4486778669 Enrollment ID: O20100824001147 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Young, MD 8905 Sundance Rdg, Texarkana, TX 75503-9583 Ph: (903) 223-6933 | Matthew Young, MD 2600 Saint Michael Dr, Texarkana, TX 75503-2372 Ph: (903) 614-1000 |
Osei Kwame Asamoah, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-999-9999 | |
Dr. Mark Mccrary, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8868 Fax: 903-798-8879 | |
Alex Wade Ayers, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Charles Niziol, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8887 | |
Dr. Malcolm Machauer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8880 Fax: 903-798-8879 | |
Dewitt Charles Fortenberry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr, Suite 302, Texarkana, TX 75503 Phone: 903-336-2391 | |
Dr. John J Harris, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1724 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-306-0838 Fax: 903-306-1286 |